Displaying 161851-161860 of 1611142 results.
ID:
161851
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
2049133
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161852
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
2049121
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161853
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1365979
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161854
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1986331
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
161855
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1918230
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
161856
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
2054269
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
28
Qty Limit Days:
28
ID:
161857
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
432400
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
161858
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1940654
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
161859
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1921081
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
30
ID:
161860
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1866047
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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